Wi Awaken LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WI AWAKEN LLC

Practice address

157 S Pine St
Burlington, WI 53105-1911

Phone

(262) 342-5188

NPI assigned

Jan 13, 2016

Last updated

Jan 13, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Coates, MS, LPC, SAC

Title

Therapist

Phone

(262) 379-0942

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1073979530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531050189",
            "telephone_number": "262-342-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 S PINE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051911",
            "telephone_number": "262-342-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WI AWAKEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "262-379-0942",
        "authorized_official_credential": "MS, LPC, SAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen J Welka, DO
• Anastasia H Wells, MD
• Western Racine County Health Department
• Wheatland Joint #1 School District
• Robert Clifford Wheelock, DC
• Constance J Wiedmeyer
• Dana Siebenaller Wiemer, OTR/L
• Douglas Armin Wild Sr., DDS
• Amanda Williams
• Erin E Williams, PSY.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Burlington, WI
• Providers in Burlington, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.